# CPT 90460: Immunization administration through 18 years, with counseling, first vaccine component

Medicare CPT 90460 pays $23.38 in a non-facility setting and $23.38 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $20.94 in Arkansas to $27.90 in Alaska, a 33% spread.

Web page: https://www.med-reveal.com/rates/90460-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Clinic/Center, Family Medicine, Pediatrics

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $23.38 |
| National facility | $23.38 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $27.90 | $27.90 |
| District of Columbia | $26.55 | $26.55 |
| California | $26.10 | $26.10 |
| New Jersey | $25.73 | $25.73 |
| New York | $25.72 | $25.72 |
| Washington | $25.59 | $25.59 |
| Massachusetts | $25.35 | $25.35 |
| Hawaii | $25.16 | $25.16 |
| Connecticut | $24.83 | $24.83 |
| Colorado | $24.29 | $24.29 |
| Maryland | $24.17 | $24.17 |
| Florida | $24.07 | $24.07 |
| Oregon | $24.06 | $24.06 |
| Rhode Island | $23.95 | $23.95 |
| New Hampshire | $23.91 | $23.91 |
| Puerto Rico | $23.54 | $23.54 |
| Virgin Islands | $23.54 | $23.54 |
| Illinois | $23.51 | $23.51 |
| Montana | $23.38 | $23.38 |
| Minnesota | $23.35 | $23.35 |
| Nevada | $23.28 | $23.28 |
| Wyoming | $23.21 | $23.21 |
| Pennsylvania | $23.19 | $23.19 |
| Delaware | $23.17 | $23.17 |
| Texas | $23.14 | $23.14 |
| North Dakota | $22.98 | $22.98 |
| South Dakota | $22.94 | $22.94 |
| Virginia | $22.93 | $22.93 |
| Vermont | $22.90 | $22.90 |
| Georgia | $22.84 | $22.84 |
| Arizona | $22.82 | $22.82 |
| Michigan | $22.74 | $22.74 |
| Maine | $22.47 | $22.47 |
| Utah | $22.41 | $22.41 |
| Wisconsin | $22.29 | $22.29 |
| New Mexico | $22.27 | $22.27 |
| South Carolina | $22.14 | $22.14 |
| Missouri | $22.13 | $22.13 |
| North Carolina | $22.13 | $22.13 |
| Louisiana | $22.10 | $22.10 |
| Ohio | $22.08 | $22.08 |
| Indiana | $21.94 | $21.94 |
| Idaho | $21.83 | $21.83 |
| Nebraska | $21.81 | $21.81 |
| Iowa | $21.70 | $21.70 |
| Tennessee | $21.70 | $21.70 |
| West Virginia | $21.70 | $21.70 |
| Kentucky | $21.66 | $21.66 |
| Oklahoma | $21.62 | $21.62 |
| Kansas | $21.61 | $21.61 |
| Alabama | $21.21 | $21.21 |
| Mississippi | $21.12 | $21.12 |
| Arkansas | $20.94 | $20.94 |

## Related codes

- 90461: Immunization administration, each additional vaccine component (add-on) — https://www.med-reveal.com/rates/90461-cpt-fee-schedule
- 90471: Immunization administration, one vaccine — https://www.med-reveal.com/rates/90471-cpt-fee-schedule
- 90472: Immunization administration, each additional vaccine (add-on) — https://www.med-reveal.com/rates/90472-cpt-fee-schedule
- 90473: Immunization administration, intranasal or oral, one vaccine — https://www.med-reveal.com/rates/90473-cpt-fee-schedule
- 90474: Immunization administration, intranasal or oral, each additional vaccine (add-on) — https://www.med-reveal.com/rates/90474-cpt-fee-schedule
- G0008: Administration of influenza virus vaccine — https://www.med-reveal.com/rates/G0008-hcpcs-fee-schedule
- G0009: Administration of pneumococcal vaccine — https://www.med-reveal.com/rates/G0009-hcpcs-fee-schedule
- G0010: Administration of hepatitis B vaccine — https://www.med-reveal.com/rates/G0010-hcpcs-fee-schedule

Commercial negotiated rates for 90460 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules